51138 I.DT NO.
NO. STREET
z a APPLICATION FOR BUILDING PERMIT
r CITY OF CUPERTINO a
a -
o < Sanitan• No
SVtko
W W Date 196 ermit No.
zo
°o App cation is hereby made for a permit to
a
i a a story,Type Building
a W
to be occupied only as i�ZcorjUge with
00 plans, Specifications and PI - Ian filed
herewith. PI Ck Fee ec IO
"; Estimated Value of Improv ments, $yt�$�. Fees
`T
°z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with. S G 3
P
Owner s%, C2r,' k' Address A4--ifO 42 J'o,�-.
W u By Addressc Wy
<� PhoneS Z — �/�
Approv .a
State Licens BUILDING INSPECTOR
/G 84 r,�1
I.OT NO.
NO. STREET
W f�R�L�T FOR BUILDING PERMIT _
Y O OF CUPERTINO ,�.,�,�.�
Or LL Sanitary No.61
W u Date i6 U< IDEC ; {l 965 V �1\, -..Permit No.-
at
� o
o at' is 't�ai?t to
)
i N Yto
a sto Building
W `..
h,be occupie in�rd3pcpwith
o 'o Plans, Specifica .ai d PI -Plan filed herewith, �A Pl Ck Fee — ova
Estimated Value of Improvements, 1riZ{��� Fee$ O S a0
i_j It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other Is Ts applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 �
_ m
Owner a�.t�- f � a Address
W W By Qr Address
01
7 U Phone _ Approvold -h sa
State Licensee Eoo c INSPECTOR
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